Dear Prospective Staff Member:

Thank you for your interest in a position at Tumbleweed Day Camp. We are in the process of recruiting for our camp season and would be interested in reviewing your application. We are currently seeking counselors, lifeguards, specialists and administrative positions.

Please complete the following application and submit. If you do not complete this information in one sitting, you will need to re-enter the entire application.

For more information please call (310) 472-7474.

Some insight on using this form:
To move between fields using your keyboard press the TAB key. Do not press the ENTER key, this will automatically submit the form. To turn off a CHECKBOX, simply click it once again. By following these simple suggestions, your form will get to us successfully.

If you are applying for a camp position, you will be required to secure your own housing in Los Angeles. You will also need to arrange your own transportation to our camp location in the Brentwood section of Los Angeles.



 
Personal Information
*Yellow fields are required.  
First
Last
email
Address
  
City
State Zip Code
Phone
Cell Phone
 
 
 
Driver Lic No Issuing State
Endorsement Number of years driving
 
 
Emergency Name Emergency Phone
 
 
  Position desired
  Certifications
  First Aid CPR WSI Life Guard School Bus
  Other:
   
 
 
Have you had any citations for moving violations in the last three (3) years?
Yes No Any Accidents? Yes No
If answered yes to either of the above, please describe:
 
 
If driving a bus or van is a necessary part of your employment, are you willing to do so?
Yes No
If no, please explain:
 
 
Do you have any limitations which may affect your ability to perform the job you applied for?
Yes No
If yes, explain limitation(s) which pertain to the job(s) for which you are applying and indicate any reasonable accommodation that is required:
 
 
Have you ever been convicted of a crime other than a minor traffic violation?
Yes No
If yes, please explain (conviction will not necessarily disqualify an applicant):
 
 
 
 
Education History
     
High School Name Address  
  # Years attended Degree  
College Name Address  
  # Years attended Degree  
Graduate/ Other Name Address  
  # Years attended Degree  
 
 
Additional Information
*Yellow fields are required.
    
Dates available to work: Starting Ending
   
Will you be able to work extra hours including overtime? Yes No
    
     
Are you a U.S. Citizen?
 Yes No Alien ID#
   
Do you speak, read or write any foreign languages?    
 
 
Skills
 
Arts & Crafts Equestrian Nature Studies
Song Leading
Ropes Course/Rock Climbing Video Making Theater & Dramatics
Musical Instruments (please list all) Archery Sports & Games
 
 
 
Please answer the following questions as completely as possible
1. What experience/training have you had in working with children? (What age, kinds of experience, activities, etc. ) Describe your camp experiences as a child or adult. What did you like best and least?)  
   
2. Why are you applying to work at our camp?  
   
3. Please list any job-related organizations or clubs to which you belong. (You may omit those which indicate your race, religion, creed, color, national origin, sexual orientation or age.)
Also include any hobbies, special interests, personality traits or career goals which you feel may be useful to us in considering your application.		  
   
4. How did you hear about Tumbleweed Day Camp?  
   
5. Please list three persons other than relatives or friends (i.e. supervisors, teachers, coaches, clergy, etc.) who have knowledge of your character, experience and ability. (All statements will become part of any future employee personnel files.)
Include name, phone number, relationship to you and years known for each person.
  
   
   
   
 
 
Employment History
 
Employer Name Supervisor (name/title)
Address City
State Zip Code
Phone
Date Employed Date Left
Starting Salary Ending Salary
Duties Reason for Leaving
   
Employer Name Supervisor (name/title)
Address City
State Zip Code
Phone
Date Employed Date Left
Starting Salary Ending Salary
Duties Reason for Leaving
   
Employer Name Supervisor (name/title)
Address City
State Zip Code
Phone
Date Employed Date Left
Starting Salary Ending Salary
Duties Reason for Leaving
Explain any periods of unemployment  
 
 
Please Read and Initial
Tumbleweed Day Camp is an equal opportunity employer and selects the best matched individual for the job based upon job related qualifications, regardless of race, color, creed, gender, sexual orientation, national origin, age, handicap, or other protected groups under state, federal, or local equal opportunity laws.
 
I UNDERSTAND AND AGREE THAT:
1. ANY MATERIAL MISREPRESENTATION OR DELIBERATE OMISSION OF A FACT IN MY APPLICATION MAY BE JUSTIFICATION FOR REFUSAL OF, OR IF EMPLOYED, TERMINATION FROM EMPLOYMENT.
2. IT IS MY UNDERSTANDING THAT TUMBLEWEED DAY CAMP WILL MAKE A THOROUGH INVESTIGATION OF MY ENTIRE WORK HISTORY AND MAY VERIFY ALL DATA GIVEN IN MY APPLICATION FOR EMPLOYMENT, RELATED PAPERS, OR ORAL INTERVIEWS. I AUTHORIZE SUCH INVESTIGATION AND THE GIVING AND RECEIVING OF ANY INFORMATION REQUESTED BY TUMBLEWEED DAY CAMP AND I RELEASE FROM LIABILITY ANY PERSON GIVING OR RECEIVING ANY SUCH INFORMATION. I UNDERSTAND THAT FALSIFICATION OF DATA SO GIVEN OR OTHER DEROGATORY INFORMATION DISCOVERED AS A RESULT OF THIS INVESTIGATION MAY PREVENT MY BEING HIRED, OR IF HIRED, MAY SUBJECT ME TO DISMISSAL.
3. I AGREE THAT MY EMPLOYMENT MAY BE TERMINATED BY THIS COMPANY AT ANY TIME WITHOUT LIABILITY FOR WAGES OR SALARY EXCEPT SUCH AS MAY HAVE BEEN EARNED AT THE DATE OF SUCH TERMINATION. IF REQUESTED BY THE MANAGEMENT AT ANY TIME, I AGREE TO SUBMIT TO SEARCH OF MY PERSON AND I HEREBY WAIVE ALL CLAIMS FOR DAMAGES ON ACCOUNT OF SUCH EXAMINATION. I AUTHORIZE ANY PHYSICIAN OR HOSPITAL TO RELEASE ANY INFORMATION WHICH MAY BE NECESSARY TO DETERMINE MY ABILITY TO PERFORM THE DUTIES OF A JOB I AM BEING CONSIDERED FOR PRIOR TO EMPLOYMENT OR IN THE FUTURE DURING MY EMPLOYMENT WITH TUMBLEWEED DAY CAMP. I CONSENT TO TAKE A MEDICAL EXAMINATION BY A QUALIFIED PHYSICIAN AT THE DISCRETION OF MY EMPLOYER.
4. TUMBLEWEED DAY CAMP HAS MY PERMISSION TO OBTAIN EMERGENCY MEDICAL TREATMENT FOR ME. TUMBLEWEED DAY CAMP HAS MY PERMISSION TO USE PHOTOGRAPHS OF ME FOR USE IN THEIR BROCHURE OR OTHER ADVERTISING.
5. TUMBLEWEED DAY CAMP HAS THE ABSOLUTE RIGHT, FOR ANY OR NO REASON, TO TAKE ANY PERSONNEL ACTION, INCLUDING THE RIGHT TO DISCIPLINE EMPLOYEES AND TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, WITH OR WITHOUT ADVANCE NOTICE.
6. I FURTHER UNDERSTAND THAT THIS IS AN APPLICATION FOR EMPLOYMENT AND THAT NO EMPLOYMENT CONTRACT IS BEING OFFERED.
 
I HAVE READ AND UNDERSTAND THE ABOVE. PLEASE TYPE YOUR INITIALS IN THE FOLLOWING BOX TO INDICATE YOUR ACKNOWLEDGEMENT OF THIS. YOU WILL SIGN ANOTHER DOCUMENT PRIOR TO HIRING ACKNOWLEDGING THIS AS WELL.
 
Initials: Date:
 
 

 
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